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What does "ricked and slightly irregular walls of urinary bladder" mean?

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Posted on Thu, 13 Mar 2014
Question: Hi doctor, Ultrasound report shows tricked and slightly irregular walls of urinary bladder. Also cystitis with overhaulded oelvi calcyceal system left kidney. What does it mean. This is my mother in laws report and she is a sugar patient.
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Answered by Dr. V. Sasanka (21 minutes later)
Brief Answer: Needs investigations. Ensure no UTI Detailed Answer: Hi, You have not mentioned why your mother-in-law needed a scan but it looks like she might be having a bladder infection. So please check if she has any recent features of urinary tract infection. You can do this by getting a complete urine examination, a urine culture if there are plenty of pus cells, and a serum creatinine for assessment of renal function. A complete blood picture also might help to tell us severity of infection. The fact that she is a diabetic should make us watchful regarding the status of left kidney which apparently is 'overfilled' meaning there is increased fluid in the kidney most probably under high pressure. There are instances of what we call 'papillary necrosis' which can cause a similar picture as a stone in the passage from kidney to the urinary bladder, which can be ascertained by a X-ray KUB, and if necessary, later a CT scan of KUB i.e Kidneys and urinary Bladder. Thus you also should ensure she receives a good antibiotic as soon as a urine sample is given for culture, and you can change this once the urine culture report comes through. Hope I have been of help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

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What does "ricked and slightly irregular walls of urinary bladder" mean?

Brief Answer: Needs investigations. Ensure no UTI Detailed Answer: Hi, You have not mentioned why your mother-in-law needed a scan but it looks like she might be having a bladder infection. So please check if she has any recent features of urinary tract infection. You can do this by getting a complete urine examination, a urine culture if there are plenty of pus cells, and a serum creatinine for assessment of renal function. A complete blood picture also might help to tell us severity of infection. The fact that she is a diabetic should make us watchful regarding the status of left kidney which apparently is 'overfilled' meaning there is increased fluid in the kidney most probably under high pressure. There are instances of what we call 'papillary necrosis' which can cause a similar picture as a stone in the passage from kidney to the urinary bladder, which can be ascertained by a X-ray KUB, and if necessary, later a CT scan of KUB i.e Kidneys and urinary Bladder. Thus you also should ensure she receives a good antibiotic as soon as a urine sample is given for culture, and you can change this once the urine culture report comes through. Hope I have been of help.